• 2550 Ravenhill Dr., Suite 101, Fayetteville, NC 28303
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Cosmetic Services

James Woodford, DDS provides cosmetic dentistry services. Few investments will enhance your life and improve your confidence like cosmetic dentistry. Your smile is the first thing someone notices and is the center point of beauty. If you are considering a cosmetic procedure, give us a call. We can improve the appearance of your smile, whether it's repairing a damaged tooth, replacing missing teeth or just brightening and enhancing your smile. For more information look at our list of cosmetic procedures below.

Click the Services below for more information on each subject.

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BONDING

Bonding is a conservative way to repair slightly-chipped, discolored or crooked teeth, often for cosmetic purposes. The process comprises placing a white filling on your tooth to improve its appearance. The filling "bonds" with your teeth, and because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth.

Bonding can also be used in place of regular amalgam fillings. Many patients prefer bonded fillings, because the white color is much less noticeable than the silver of the amalgam fillings. Bonding fillings can be used on front and back teeth, depending on the location and extent of tooth decay.

Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to our office. However, bonding can stain and breaks more easily than other cosmetic treatments like porcelain veneers.

If your bonding does break or chip, please let us know. We can generally patch or repair bonding in one visit.

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BRIDGES

A bridge is an ideal method to fill the space created by missing teeth. A bridge is one or more artificial teeth that are cemented into place using the real teeth on either side for support--hence the name. Bridges are a perfect option for filling the space created by a missing tooth. A bridge replaces the missing tooth both functionally and cosmetically. Bridge work is as much an art as it is an exact science. Bridge materials include gold alloys, porcelain bonded to metal alloy, or all-ceramic material made to match your natural tooth color. The choice of material depends on requirements for strength, wear, and/or esthetics.

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CROWNS

Crowns are used to restore and enhance teeth that are damaged, or to replace missing teeth. A crown, also called a cap, is used to entirely cover a damaged tooth. A crown not only strengthens the tooth, but it can also dramatically improve the tooth's appearance, shape and alignment.

Crowns may be used to...

  • Replace a large filling when there is little tooth structure remaining
  • Protect a weak tooth from fracturing
  • Restore a fractured tooth
  • Attach a bridge
  • Cover a dental implant
  • Cover a discolored or poorly-shaped tooth
  • Cover a tooth that has had root canal treatment
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DENTAL CLEANING

A dental cleaning is a professional cleaning you receive from a dentist or dental hygienist. Most dental cleanings take only 25 to 30 minutes. Cleanings should be performed every six months to prevent excessive plaque buildup. Plaque left untreated can lead to unhealthy gums and tooth decay. A routine dental cleaning should include scaling, root planing and polishing.

Scaling and root planing is the process of removing plaque and tartar from all tooth surfaces with a variety of methods, depending on the amount of plaque and tartar. Dental hygienists traditionally perform scaling by hand. However, new and advanced technology has led to more modern methods such as electric scalers. This sophisticated tool allows dental cleanings to be performed more efficiently and in less time. Both electric and manual scaling methods can be combined to achieve the best results. Polishing completes the cleaning, making the surface of the teeth smooth and minimizing future plaque build-up.

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DENTURES

A denture is a removable replacement for missing teeth and surrounding tissues. There are two types of dentures available: partial dentures and complete dentures. Partial dentures are used when some natural teeth remain and complete dentures are used to replace all teeth. Dentures are made to resemble your natural teeth, so there should be no noticeable change to appearance. In fact, dentures may even improve a smile!

Complete Dentures – This restoration method is used to restore smile and mouth function if all teeth have been lost. The dentures are custom created and natural looking. They are fit in the patient's mouth to take the place of the original teeth. Complete dentures are generally removable and may require adjustments in order to create a proper fit with the gums and mouth.

Partial Dentures – A removable partial denture is used when one or more natural teeth still remain in the upper or lower jaw. Made of replacement teeth attached to a pink or gum-colored plastic base, partials help restore better functionality to the mouth. As with complete dentures, it is possible to have more permanent option cemented into place.

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EXTRACTIONS

Good oral hygiene is a must. The loss of a single tooth can have major impact on overall oral health and appearance. Although dentists will use every measure to prevent tooth loss, there are still some occasions when a tooth needs to be extracted. A tooth may need to be extracted if the following occurs:

  • Severe decay
  • Advanced gum disease
  • Infection or abscess
  • Orthodontic correction
  • Malpositioned teeth
  • Fractured teeth or roots
  • Impacted teeth

The dentist may suggest an extraction after careful examination and treatment—usually taking x-rays to understand the shape and position of the tooth and surrounding bone before extracting the tooth. Based on the degree of difficulty, a dentist may refer you to an oral surgeon.

A certain amount of pain and discomfort is to be expected following an extraction, but it can be minimized with pain killers and ice packs applied to the face for 15 minutes at a time. Discomfort should lessen within three days to two weeks.

If you experience prolonged or severe pain, swelling, bleeding or fever, call our office immediately.

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FILLINGS

A filling is a way to restore a tooth decayed tooth back to its normal shape and function. If you have a tooth that requires a filling, the dentist will first remove the decayed tooth material, then clean the affected area and fill the cleaned-out cavity with a filling material. This filling will help prevent further decay by closing off any cracks or spaces where bacteria might enter.

There are a variety of filling materials available including gold, silver, plastic and porcelain. We will work with you to determine which material is best for you, depending on the extent of repair, the location of the filling and the cost. Each of the filling materials is briefly explained below:

Gold fillings are custom-made in a laboratory and then cemented into place. While gold fillings are often the most expensive choice, many consider gold as the best filling material. Gold inlays are well-tolerated by gum tissues and may last more than 20 years.

Amalgam (silver) fillings are a more inexpensive choice and are also well-tolerated. However, due to their dark color, they are more noticeable than porcelain or composite restorations and are not recommended for fillings in very visible areas such as front teeth.

Composite (plastic) resin fillings are custom-made to the exact color of the patient's teeth, creating a more natural appearance. While these white fillings may be less noticeable than other materials, they usually only last between 3 and 10 years. They may not be ideal for larger fillings as they may chip or wear over time. They can also become stained from coffee, tea or tobacco.

Porcelain fillings, called inlays or onlays, are created in a lab and then bonded to the tooth. They can be matched to the color of the tooth, they resist staining, and they cost about the same as gold fillings. A porcelain restoration generally covers most of the tooth, making the filling nearly undetectable.

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GUM TREATMENT

It's estimated that more than half of U.S. adults have gingivitis. Gingivitis, in some cases, can lead to periodontitis (gum disease) and host of other health problems.

Gum disease can cause bleeding, swelling, bad breath, pain, receding gums and tooth loss. But it doesn't always stop there. You oral health is the beginning point for your whole body's health and wellness. It is imperative that we stop problems before they even start!

Gum disease causes a buildup of bacteria in deep pockets between the teeth and gums. That bacteria can transfer to your bloodstream when gums bleed, putting you at a much higher risk to develop the following health problems:

  • Stroke
  • Respiratory Disease
  • Heart Disease
  • Diabetes
  • Ulcers
  • Osteoporosis
  • Arthritis
  • Pre-Term Births

Periodontal treatment typically involves containing the infection through deep cleaning like scaling and root planing, clearing buildup at the root of the teeth. The dentist may also suggest specific toothpastes and mouth rinses. We may also prescribe antibiotics to fight infections. Surgery is required for the most severe cases.

We examine you for gum health at every 6-month check-up. If you have been experiencing any symptoms like bad breath, bleeding or tender gums, please let us know. We will decide what is the best form of treatment to restore your gums to optimum health.

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IMPLANT RESTORATION

A dental implant is an ideal tooth restoration for people who are missing one or more teeth for reasons like injury or periodontal disease. After a metal post is placed, the restoration is completed with a replacement crown. While implants are typically more expensive than other methods of tooth replacement, they provide superior benefits. Implants are stronger than natural teeth and generally last 10-20 years. They are also a more favorable approach than bridgework, because they do not depend on neighboring teeth for support.

Implants require healthy gums and adequate bone. A patient must also be committed to excellent oral hygiene and regular dental visits, as these are critical to the long-term success of dental implants.

Please let us know if you have any questions about the procedures involved in dental implants.

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MOUTH GUARDS

Custom-designed mouth guards and night guards are made of flexible plastic and molded to fit the shape of your teeth. Mouth guards are recommended to protect the jaw, tongue, cheek lining and teeth during physical activity and sports such as boxing, football, basketball, or other activities where your mouth might get hit. Night guards are recommended for patients who clench or grind their teeth at night to protect their teeth. Guards generally last 3-10 years.

Custom-made oral appliances can also be used as part of treatment for conditions like sleep apnea and TMJ disorders. In general, plastic appliances can be used to correct a variety of problems.

If you are active in athletics or experiencing any concerning experiences with your mouth, teeth, or jaw, please let us know. If any kind of guard or appliance is a good option for you, we will take an impression of your teeth to create a custom-fit product for your specific needs.

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ROOT CANALS

Root canal treatment, also referred to as root canal therapy or endodontic therapy, is used to save an infected or damaged tooth and avoid having to remove it. A root canal becomes necessary when a neglected cavity reaches all the way to the pulp at the center of the tooth, causing the pulp to become infected. Regular cleanings and checkups detect and prevent problems early on.

Trauma can also cause deep damage to the nerve of a tooth. Once this occurs, the pulp becomes infected, and it begins to eat away at the surrounding bone (this is called an abscess). By the time the pulp is infected it must be treated, and cannot heal on its own. It can even weaken the entire immune system, making it very dangerous and painful.

Symptoms of infected pulp may include sensitivity to hot/cold or sweets, pain, swelling, pain with biting or pressure, and a bad taste in the mouth. Sometimes, however, there are no symptoms, and you are unaware of any problem until a checkup.

A root canal is performed to clean out the infected tooth pulp and disinfect the canals of the tooth. The only other treatment would be to extract the tooth. Once the infection is resolved, the canal(s) is filled to prevent any further infection. Crowns are usually recommended to cover and restore a tooth after root canal therapy.

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SEALANTS

Sealants are a common preventive treatment in dentistry. Some teeth have fine grooves or pits that accumulate plaque, not because the person doesn't brush, but because the grooves are too narrow to allow even one bristle into them. When plaque accumulates, it can lead to cavities and other types of tooth decay. To apply sealants, a plastic material is brushed onto the tooth, filling these narrow grooves and preventing the cavity-causing buildup. Sealants make healthy teeth possible.

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VENEERS

Veneers are a cosmetic dental procedure in which a thin layer of porcelain or composite material is placed over the outside of the tooth. They are used to improve esthetics or help with tooth damage. Veneers are usually only performed on the front part of the teeth that are visible when talking or smiling. The procedure can be direct or indirect.

The direct technique usually involves placing composite resin on the outside of the tooth using bonding. Because of that, the direct technique is usually referred to as bonding.

The indirect technique usually involves two appointments because the veneers are fabricated at a dental laboratory. At the first appointment the teeth are prepared, impressions are taken, and the teeth are given a temporary covering. The veneers are back from the laboratory after two or three weeks. The temporaries are removed, and the veneers are bonded to the teeth.The laboratory-fabricated veneers are usually made using porcelain or pressed ceramic, and are esthetically pleasing.

The advantage of veneers versus crowns is that much less of the tooth material has to be removed, and the procedure is generally less uncomfortable. Veneers are not recommended for patients who have large fillings or little tooth structure. They are also typically recommended for the restoration of front teeth.

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TEETH WHITENING

Teeth whitening is a popular procedure to make your teeth whiter and brighter, and therefore more attractive. Bleaching can be used to whiten stained and discolored teeth, or simply to enhance a dull smile. Either way, teeth whitening is a safe and relatively painless procedure for most patients. Whitening comes in strips, trays, or in-office procedures. We offer a wide variety of options for you at our practice.

In-office bleaching procedures are ideal if you want immediate results. The whole process takes about an hour, taking little time out of busy lives. A protective gel is applied to your gums to protect the soft tissue. Then a special light-activated gel is applied to your teeth and light or laser is used to enhance the action of the agent. Finally, the patient receives a take-home gel and instructions to keep the smile bright. The result is dramatically whiter teeth that will last for years.

Tray whitening is a less-expensive and convenient at-home whitening treatment. The results are more gradual. An impression is taken at the dentist's office in order to create a customized clear tray. Trays are generally ready within a few days, depending, and the patient must follow instructions for how to apply the gel in the trays and how often to use it. Maximum whitening results and a dazzling smile are achieved at the end of the set treatment period. An occasional treatment can be used to maintain the new smile.

Whitening strips can be available at the local store or at dental practices. The dentist will have the best recommendations for your needs.

Ask about our whitening options! Please consult us about use of over-the-counter whitening treatments.

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WISDOM TOOTH EXTRACTIONS

Wisdom teeth are the last molars, or "third molars" that develop on each side of the jaw. They usually emerge in the back of the mouth between the ages of 16-20.

Wisdom teeth are a valuable asset to the mouth when they are healthy and properly positioned. Often, however, they cause problems and require removal. When the jaw isn't large enough to accommodate wisdom teeth, they can become impacted. Impacted wisdom teeth may grow sideways, emerge only part way through the gum or remain trapped beneath the gum and bone.

A wisdom tooth extraction is a relatively routine procedure. The dentist will numb the area in the mouth with a local anesthesia or use IV sedation so that the patient is asleep during the procedure.

After the tooth (or teeth) is removed, the patient is given gauze and bites down softly for a recommended amount of time to limit any bleeding. Some pain and swelling may occur, but it will usually go away after a few days. Please call our office if, after following post-op instructions, you have prolonged or severe pain, swelling, bleeding or fever.